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Are you an impatient woman? A Woman’s Guide to Getting Pregnant

ConceiveOnline.com: You wrote this book to correct misinformation you found about fertility — information that was largely scaring women about their poor chances of conception. Can you share a few pieces of misinformation you were able to correct or clarify in your own research?

Jean Twenge: I often saw the statistic that one-third of women over 35 would not become pregnant after a year of trying – this was often stated as fact with no source. It turns out the source is a medical journal article that analyzed – not kidding – birth records from 1600s rural France! Modern studies find higher pregnancy rates…maybe because we have soap now.

CO.com: As you know, the readers of ConceiveOnline.com are having trouble conceiving, some of them for a very long time – so they’re definitely impatient! Any advice from your research and writing this book for this group of women (vs. people who haven’t started trying yet or have been trying for a short time)?

JT: My first piece of advice is to have your partner get a semen analysis. Almost half of fertility problems are “male factor” (which sounds like a really bad men’s cologne). Because men always have it easier, tests for sperm issues are quick and inexpensive – between $50 and $100 at a doctor’s office (there are home kits too, but they are both less accurate and more expensive).

If the semen analysis is normal, buy a fertility monitor. Charting is great – I’ve done it myself for 8 years – but for getting pregnant may not be precise enough. There are so many days of egg white, and how many differs from one cycle to the next. I got pregnant faster at 39 than at 34, probably because of the monitor. (Although, as I note below, you have to adjust your timing when using the monitor because the day of ovulation isn’t actually the most fertile).

If you’ve been trying for six months using the monitor – especially if you’ve had sex on both high and peak days — I think it’s time to see a doctor. The advice of waiting a year is based on random timing. It also ignores how stressful trying is when you don’t know why it’s not working.

CO.com: In your new book, you explain three ways to monitor ovulation in every cycle (not just when a woman typically ovulates). What are common mistakes in tracking ovulation that you’d like to correct?

JT: I think the most common mistake is waiting too long in the cycle to have sex. For some women, ovulation has already passed or is within a few hours of occurring once an OPK or fertility monitor detects LH (luteinizing hormone). If you have sex that evening, it might already be too late, because the egg doesn’t live very long (about 6 to 12 hours). So just relying on OPKs might not be the best – better to combine it with charting or the fertility monitor so you can get more warning.

We’ll have the second and last part of our interview with Jean on April 23, so please check back!

Jean M. Twenge, Professor of Psychology at San Diego State University, is the author of the brand-new book, The Impatient Woman’s Guide to Getting Pregnant. She has also written more than 90 scientific publications and two books based on her research, Generation Me and The Narcissism Epidemic. Her research has been covered in Time, Newsweek, the New York Times, USA Today, and The Washington Post, and she has been featured on Today, NBC Nightly News, Fox and Friends, Dateline, and National Public Radio. She received a B.A. and M.A. from the University of Chicago and a Ph.D. from the University of Michigan. She lives in San Diego, California, with her husband and daughters.

Author:
Lorie A. Parch
Fertility Clock Blog, My Future Baby Blog

Preconception Health

Getting pregnant and carrying a pregnancy to term is easiest when a woman’s overall health is optimized through appropriate self care. Here are the 5 main factors women can control to increase their fertility:

 

 

Nutrition
Eating a balanced diet promotes ideal health. In general, whole foods are the best choice. Women who avoid certain food groups due to dietary restrictions for health or other reasons may wish to consult with a nutritionist to ensure that they are still getting all the nutrients their body needs. Supplements such as prenatal rich in folic acid are recommended for women who want to get pregnant.
 
Harmful Substances
Women who smoke should stop as soon as possible since smoking delays the time to conception and can lead to early onset of infertility. Women who consume alcohol or caffeine in substantial quantities should cut back or cease using these substances to increase their overall wellbeing and lower the chance of miscarriage.
 
Weight Management
Maintaining a healthy body weight increases the chances of getting pregnant. It can also decrease the risk of miscarriage, birth defects, and gestational diabetes. Eating a moderate amount of nutritious food and exercising regularly is the best way to achieve sustainable weight loss and prepare for pregnancy.
 
Stress Reduction
High levels of chronic stress affect hormone levels in the body and may interfere with fertility. There are a variety of relaxation techniques that can help with stress reduction including yoga, acupuncture, and acupuncture massage. In general, simply taking time out to relax is a good course of action for relieving stress in preparation for getting pregnant.
 
Frequency and Timing of Intercourse
An egg is viable for less than 24 hours after ovulation. This means there is a narrow window of opportunity for fertilization. Couples who are trying to conceive should have sex daily or every other day during the 7 day time period ending on the day of ovulation.
Fertility Clock Headlines, Fertility Headlines

Think We Should Keep IVF Legal?

It used to be that people with infertility lived under a cloud of stigma and shame. People denigrated their disease, dismissing their heartbreaking inability to have children as a mere lifestyle choice.  For those of us in the infertility community, we look back on that as “the good ol’ days.”

My Future Baby Blog

How common is miscarriage?

A high percentage of fertile women who have unprotected sex will experience loss of a pregnancy at some point. According to the American Society for Reproductive Medicine, 25% of recognized pregnancies end in miscarriage.

The total number of miscarriages (including cases where the woman is unaware of the pregnancy) is estimated at about 50%. Pregnancy losses occurring within the first 8 weeks are most common. Few women experience miscarriage after the 12th week.

What You Should Know about Recurrent Miscarriage

A single miscarriage is not usually a cause for concern from a medical standpoint. However, consecutive miscarriages are rare, occurring in less than 5% of women.  If you experience two or more miscarriages of in a row, you may wish to seek assistance from a reproductive specialist.

In some situations, there is an identifiable, medically treatable factor contributing to the loss of pregnancies. Many pregnancies simply end because of random chromosomal abnormalities in the egg or the developing embryo.

Recurrent miscarriage or early pregnancy loss can be physically taxing and emotionally devastating. Not knowing why this problem is happening can be especially distressing. Patients may experience feelings of self blame, failure, or desperation. It is important for patients to seek emotional support during this time. Professional mental health support may also be beneficial for patients coping with recurrent loss.

Pregnancy after Miscarriage

Fortunately, most women trying to conceive do go on to carry a healthy pregnancy to term after a miscarriage. This includes 60-70% of women who have experienced recurring pregnancy loss with no identifiable cause. Following a healthy lifestyle including good nutrition, diet, weight control, prenatal supplementation, exercise, rest, and general self care is the best course of action for women who wish to increase their chances of a normal pregnancy in the future.

by: Dr. John Jain

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A Gamete Matchmaker

During fertilization, some pairings of mussel sperm and eggs work better than others—but how do the best couples find one another in the open ocean?  New research, published online Tuesday (March 20) in Proceedings of the Royal Society B: Biological Sciences, raises that possibility that chemicals released by eggs may help sperm find not just any eggs, but the ones that will have the most successful fertilizations.